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Hawaii rates for HCPCS J0558

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.44 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.89 / $29.51